Fear-avoidance beliefs about physical activity in adults with rheumatoid arthritis

Lööf, Helena; Demmelmaier, Ingrid; Henriksson, Elisabet Welin; Lindblad, Staffan; Nordgren, Birgitta; Opava, CH; Johansson, Unn‐Britt

doi:10.3109/03009742.2014.932432

Cited by 30 publications

(44 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In previous studies carried out in different disease groups, a correlation was put forth between level of pain and kinesiophobia (17)(18)(19). In another study conducted on patients with rheumatoid arthritis, it was concluded that the feelings of fear and avoidance of activity had a significant correlation with pain (20). Parallel to our results, as noted by Leeuwe et al, fear of pain, fear of movement, and fear of reinjury were frequently reported in diseases with pain components such as AS (21).…”

Section: Discussionmentioning

confidence: 97%

Relationship between kinesiophobia and pain, quality of life, functional status, disease activity, mobility, and depression in patients with ankylosing spondylitis

Oskay¹,

Tunà²,

Düzgün³

et al. 2017

Turk J Med Sci

View full text Add to dashboard Cite

Background/aim: Our aim was to investigate the association of kinesiophobia with pain, quality of life, clinical measures, and depression in patients with ankylosing spondylitis (AS). Materials and methods:Patients with AS (n: 163) were enrolled in the study. Kinesiophobia was evaluated with the Tampa Scale of Kinesiophobia (TSK), pain with a visual analog scale (VAS), mobility with Bath Ankylosing Spondylitis Metrology Index (BASMI), disease activity with the Bath AS Disease Activity Index (BASDAI), functional status with the Bath AS Functional Index (BASFI), depression level with Beck's Depression Inventory (BDI), and quality of life with the AS Quality of Life Questionnaire (ASQoL). Besides correlation analysis, outcome measures were compared between patients with (TSK ≥ 37) and without (TSK < 37) kinesiophobia.Results: Kinesiophobia was found to be common with a percentage of 66.6%. TSK scores were correlated with VAS, BASFI, ASQoL, and BDI scores (r = 0.259, r = 0.294, r = 0.392, and r = 0.398, respectively; P < 0.05 for each). There were no correlations between TSK and the BASDAI and BASMI scores (r = 0.142, r = 0.198, respectively; P > 0.05). Patients with kinesiophobia had more pain and poorer BASFI, ASQoL, and BDI scores than patients without kinesiophobia (P < 0.05). Conclusion:Our study is the first study that investigated the relationship between kinesiophobia and other clinical measures in AS patients. Pain and psychological status have an impact on fear of movement and thus functional status and quality of life.

show abstract

Section: Discussionmentioning

confidence: 97%

Relationship between kinesiophobia and pain, quality of life, functional status, disease activity, mobility, and depression in patients with ankylosing spondylitis

Oskay¹,

Tunà²,

Düzgün³

et al. 2017

Turk J Med Sci

View full text Add to dashboard Cite

show abstract

“…In RA, the role of fear‐avoidance and its development over time have been minimally explored and the few existing studies are inconclusive, reporting positive correlations with pain intensity but not with physical activity . RA is a long‐term condition, characterized by unpredictable flares and remissions with subsequent variations in pain, that also affects many other physical, psychological, and contextual aspects of health and functioning.…”

Section: Introductionmentioning

confidence: 99%

Trajectories of Fear‐Avoidance Beliefs on Physical Activity Over Two Years in People With Rheumatoid Arthritis

Demmelmaier

Björk²,

Dufour

et al. 2018

Arthritis Care & Research

View full text Add to dashboard Cite

ObjectiveTo identify and describe 2‐year trajectories of fear‐avoidance beliefs on physical activity and to identify predictors of these trajectories in people with rheumatoid arthritis (RA).MethodsWe included 2,569 persons with RA (77% women, mean age 58 years). Data on fear‐avoidance beliefs (Fear‐Avoidance Beliefs Questionnaire physical activity subscale [FABQ‐PA]; range 0–24), sociodemographics, disease‐related variables, self‐efficacy, and health‐enhancing physical activity (HEPA) were collected from registers and by questionnaires at baseline, 14, and 26 months. K‐means cluster analysis was used to identify fear‐avoidance trajectories, and multinomial logistic regression was used to identify predictors of trajectory membership.ResultsThree trajectories of fear‐avoidance beliefs were identified: low (n = 1,060, mean FABQ‐PA = 3), moderate (n = 1,043, mean FABQ‐PA = 9), and high (n = 466, mean FABQ‐PA = 15). Consistent predictors of being in the high fear‐avoidance trajectory versus the other 2 trajectories were high activity limitation, male sex, income below average, not performing current HEPA, and elevated anxiety/depression. In addition, less consistent predictors such as shorter education, more pain, and low exercise self‐efficacy were also identified.ConclusionStable trajectories of fear‐avoidance beliefs on physical activity exist among people with RA. Fear‐avoidance may be targeted more effectively by tailoring physical activity promotion to vulnerable socioeconomic groups, men, and those with high activity limitation and anxiety/depression.

show abstract

“…Finally, mFABQ total score was sum of these two scores. All scores dichotomized as low (mFABQ physical activity score [0-6], mFABQ work score [0][1][2][3][4][5][6][7][8][9][10][11][12] and mFABQ total score [0-18]) or high (mFABQ physical activity score [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24], mFABQ work score and mFABQ total score ) according to medians of a previous study. 19 All patients were literate and none of the patients had pathological finding in the examinations that may influence the questionnaire.…”

Section: Methodsmentioning

confidence: 99%

“…Lööf et al 5 evaluated the FA beliefs about physical activity in adults with RA as a part of Physical Activity in Rheumatoid Arthritis 2010 study. Male sex, below average income, high level of pain, poor health and low health quality scores were found related with FA beliefs in RA.…”

mentioning

confidence: 99%

“…For instance, in patients with low-back pain, FA beliefs may preclude return to work related with reduced physical activity. 4,5 Rheumatoid arthritis (RA) is one of the most common chronic inflammatory joint diseases, mainly characterized by chronic inflammatory pain in peripheral small joints. 6 FA beliefs of patients with RA might be a factor for workforce loss and reduced physical activity.…”

mentioning

confidence: 99%

See 1 more Smart Citation

High Disease Activity May Increase Fear-Avoidance Beliefs in Rheumatoid Arthritis

et al. 2017

View full text Add to dashboard Cite

Objectives:This study aims to compare fear-avoidance (FA) beliefs of rheumatoid arthritis (RA) patients with osteoarthritis (OA) of hand patients and fibromyalgia (FM) patients and evaluate its relationship with RA activity and duration. Patients and methods:The study included 206 patients with RA (34 males, 172 females; mean age 49 years; range 20 to 72 years), 57 patients with FM (57 females; mean age 48 years; range 20 to 71 years), and 50 patients with OA of hand (4 males, 46 females; mean age 43 years; range 43 to 77 years). FA beliefs were assessed with modified Fear-Avoidance Belief Questionnaire (mFABQ). RA patients were dichotomized according to disease activity and disease duration separately; cutoff values were disease activity score 28 of 3.2 and six months of disease activity, respectively. Results: Modified Fear-Avoidance Belief Questionnaire scores were similar in patients with RA, OA of hand, and FM. RA patients in non-remission group had higher mFABQ scores. Moreover, mFABQ scores were similar in RA patients with early and established disease groups. Conclusion: Fear-avoidance beliefs of patients with RA were similar with OA of hand patients and FM patients. However, higher disease activity in RA was related with escalated FA beliefs. Further studies focusing on pathophysiology of FA beliefs in patients with RA are warranted for effective pain management of RA.

show abstract

Fear-avoidance beliefs about physical activity in adults with rheumatoid arthritis

Cited by 30 publications

References 41 publications

Relationship between kinesiophobia and pain, quality of life, functional status, disease activity, mobility, and depression in patients with ankylosing spondylitis

Relationship between kinesiophobia and pain, quality of life, functional status, disease activity, mobility, and depression in patients with ankylosing spondylitis

Trajectories of Fear‐Avoidance Beliefs on Physical Activity Over Two Years in People With Rheumatoid Arthritis

High Disease Activity May Increase Fear-Avoidance Beliefs in Rheumatoid Arthritis

Contact Info

Product

Resources

About